MEDICARE: SHELDON ROSS, D.PM., P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	P01131	FL
2	213ES0103X	Foot & Ankle Surgery Podiatrist	PO1131	FL

General Provider Information

NPI Number	:	1891970240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHELDON ROSS, D.PM., P.A.

Provider Business Mailing Address
First Line	:	10109 W OAKLAND PARK BLVD
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33351-6917
Country	:	US
Telephone Number	:	954-748-9444
Fax Number	:	954-749-8712

Provider Business Practice Location Address
First Line	:	10109 W OAKLAND PARK BLVD
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33351-6917
Country	:	US
Telephone Number	:	954-748-9444
Fax Number	:	954-749-8712

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHELDON ROSS
Credential	:	DPM
Telephone Number	:	954-748-9444

Provider Enumeration Date	:	01/04/2008
Last Update Date	:	01/24/2011

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